Scarlet Haven Residential Services

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

2371-01-001 Issued in VA

Legal business name

SCARLET HAVEN RESIDENTIAL SERVICES

Practice address

1346 Old Bridge Rd
Suite 100
Woodbridge, VA 22192-2743

Phone

(240) 645-7642

Fax

(703) 890-3160

NPI assigned

Oct 19, 2015

Last updated

Oct 19, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Eula Khadijatu Secka

Title

Administrator

Phone

(240) 645-7642

Specialties & licenses 8

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1548631310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 OLD BRIDGE RD",
            "address_2": "SUITE 100",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922743",
            "telephone_number": "703-490-1197",
            "fax_number": "703-890-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 OLD BRIDGE RD",
            "address_2": "SUITE 100",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922743",
            "telephone_number": "240-645-7642",
            "fax_number": "703-890-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCARLET HAVEN RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "SECKA",
        "authorized_official_first_name": "EULA",
        "authorized_official_middle_name": "KHADIJATU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-645-7642",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "2371-01-001",
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "VA",
            "license": "2371-01-001",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "VA",
            "license": "2371-01-001",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "2371-01-001",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "2371-01-001",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "2371-01-001",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "2371-01-001",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "2371-01-001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DBHDS",
            "identifier": "2371-01-001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DBHDS",
            "identifier": "2371",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saving Our Sons and Daughters
• Sameer Kanwar Saxena, M.D.
• Leena Ibrahim Sayed
• Scarlet Haven Nursing Care, LLC
• Scarlet Haven on Aging, LLC (Scarlet Haven for the Aging)
• Gene Andrew Schiappa, M.D.
• Susan Kay Schmitt Beckmann, RPH
• Amanda Schmitz, DPT, ATC
• Laura Schoenborn, MSW, LCSW
• Joyce Schueftan

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.